OrganizationActive
Gary J. Mellon ,o.d.,p.c.
NPI 1609045921 · Eyewear Supplier · Boyne City, MI
Gary J. Mellon ,o.d.,p.c. is a Eyewear Supplier organization in Boyne City, MI (NPI 1609045921).
Provider details
- NPI number
- 1609045921
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Gary Mellon, Owner(231) 582-6704
Specialties & taxonomies
Suppliers
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 E Main St
Boyne City, MI 49712-1336
Phone: (231) 582-6704
Street-level locationGet directions
Mailing address
102 E Main St
Boyne City, MI 49712-1336
Registry dates
- Enumerated
- 2008-02-21
- Last updated
- 2008-02-26
Frequently asked questions
- What is Gary J. Mellon ,o.d.,p.c.'s NPI number?
- Gary J. Mellon ,o.d.,p.c.'s National Provider Identifier (NPI) is 1609045921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gary J. Mellon ,o.d.,p.c.?
- Gary J. Mellon ,o.d.,p.c. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Gary J. Mellon ,o.d.,p.c. located?
- Gary J. Mellon ,o.d.,p.c.'s practice location on file with NPPES is 102 E Main St, Boyne City, MI 49712-1336.
- What is Gary J. Mellon ,o.d.,p.c.'s phone number?
- The practice phone number listed in the NPPES registry for Gary J. Mellon ,o.d.,p.c. is (231) 582-6704.
- Who is the authorized official for Gary J. Mellon ,o.d.,p.c.?
- The authorized official listed on Gary J. Mellon ,o.d.,p.c.'s NPPES record is Gary Mellon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gary J. Mellon ,o.d.,p.c.'s NPI active?
- Yes — Gary J. Mellon ,o.d.,p.c.'s NPI (1609045921) is active in the NPPES registry as of the last update on 2008-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.